SurgeryWise - directory of surgeons and health specialists, information, advice and more...
SurgeryWise home - surgeon directory, advice, information and more.....Surgeons and specialists near youInformation on surgery, procedures and healthRead about real patient's experiences of various proceduresHot topics - surgery and health issuesClick here to advertise with SurgeryWisecontact us
  You are at: Procedure info > Cosmetic surgery > Facelifts & Browlifts

Facelifts and browlifts
















facelift information imageA facelift is used to give a more youthful appearance by tightening the facial skin and underlying muscles. A facelift will generally not address forehead wrinkles and furrows, though.

A browlift will help to reduce forehead creases, and lifts sagging eyebrows, making the eyes more visible and giving a youthful result. It is especially useful in addressing furrows between eyes, reducing the 'scowling' look that can develop with age.

Both facelifts and browlifts can be combined with a blepharoplasty (eyelid surgery), dermabrasion or peel to complete the rejuvenation process.


How is a facelift or browlift performed?

There are many different techniques in performing a face lift, and the method used will often be tailored on a patient-by-patient basis. Generally, an incision is made in the temple hairline area, running down just in front of the ear. This incision may then need to carry on under the earlobe, to the back of the ear and scalp. The face skin is lifted up from the underlying muscles, which are then tightened with stitches. The skin is tightened and stitched back in place, with any excess skin being removed.

browlift information imageA browlift is usually performed via one of three methods: the 'coronal brow lift', the 'endoscopic' method, or the 'above eyebrow' method. The coronal brow lift involves an incision in the hairline above the forehead, running from ear to ear. The forehead skin is lifted and the underlying muscles are either cut or tightened, leaving a more relaxed and smoother forehead. The skin is then pulled tight and stitched back in place, any excess skin being removed. The endoscopic technique uses smaller incisions, which results in less scarring and often less numbness in the hairline area; generally, though, this technique is more useful in people that do not have too much excess forehead skin. The 'above eyebrow' method uses an incision above the eyebrow to remove excess skin and give a more youthful look.

The most appropriate procedure for you, therefore, depends on a number of factors; your specialist will be able to discuss the best method with you.


Are the effects permanent?

Whilst the effects can last for a number of years, the ageing process will continue and skin laxity will slowly return.


What risks are involved?

The major risks involved with face lifts are:

  • Haematoma - bleeding under the skin can collect as a clot, which may need removing in a return trip to the operating room

  • Skin loss - as the skin is raised up from underlying muscles, the blood supply can be interrupted to the skin edges, leading to skin dying away and worse scars. This risk is increased in smokers

  • Nerve injury - injury to the nerves of the face can lead to muscle weakness or skin numbness, especially over the ear. Whilst this often recovers, the effects can occasionally be permanent. Fortunately this is a relatively rare risk


Major risks of brow lift include:

  • Numbness - loss of feeling to the scalp area is more common with larger incisions and is often temporary. Permanent numbness can occasionally occur to parts of the scalp

  • Muscle weakness - as the forehead is pulled tight, the nerve to the forehead muscle can be stretched. This may result in droopiness of the eyebrows, although the effects will usually slowly resolve. Permanent muscle weakness can occur, although is rare



Other SurgeryWise articles

You may also be interested to read our articles on fillers, Botox, blepharoplasty (eyelid surgery) or other Cosmetic surgery articles



Any procedure involving skin incision can also result in unfavourable scarring, wound infection, or bleeding. This list of risks is not exhaustive, and you should discuss possible complications with your specialist. Whilst these risks will seem very worrysome, and indeed can be serious, it should also be borne in mind that many people have no postoperative problems whatsoever.

The information provided is as a guide only and you should discuss matters fully with your specialist before deciding if this is the right procedure for you. Please also read our disclaimer







Copyright © 2014 SurgeryWise Ltd